Castaways Travel Credit Card Authorization Form

Travel Advisor and Vacation Type

Travel Advisor

Vacation Type

Cruise Information

Cruise Name

Cabin Number

Total Cabin Price

Including taxes, port fees and prepaid gratuities

Departure Date

Month, day, year

Return Date

Month, day, year

Resort Information

Is the Resort Hedonism II?

Departure Date

Month, day, year

Return Date

Month, day, year

Reservation Number

Hedonism Change for Any Reason Coverage

HEDONISM OPTION: Hedonism permits you to change or rebook your reservation within one year. This coverage does not refund your room cost or any other travel expenses.

Coverage Pricing

$55 per person for 2026 bookings

$65 per person for 2027 bookings and beyond

Yes, I would like to purchase Hedonism Change for Any Reason Coverage.
I understand the cost shown above is per person and is subject to change by the resort. No, I decline Hedonism Change for Any Reason Coverage.

Passenger Information

Passenger 1

First Name

Last Name

Date of Birth

Gender

Email Address

Phone Number

Passenger 2, Optional

First Name

Last Name

Date of Birth

Gender

Email Address

Phone Number

Emergency Contact Emergency contact cannot be traveling with you.

Full Name

Relationship

Phone Number

Email Address

Payment

Name on Card

Card Type

Card Number

Expiration Date

Security Code

Amount Authorized

This Payment Is For

If Other, Specify

Billing Address

City

State or Province

ZIP or Postal Code

Country

Travel Insurance

Travel insurance is strongly recommended. Please indicate whether you are purchasing travel insurance or declining coverage.

I would like to purchase travel insurance I decline travel insurance I already purchased coverage

Insurance Notes

Terms & Authorization

I authorize Castaways Travel, Fox Ascoli Travel, Inc., d/b/a Fox Travel to charge the credit card listed above for the vacation cost authorized on this form. I agree to pay my designated credit card company according to the terms of my cardholder agreement.

I acknowledge that I have reviewed and accept the applicable cancellation policy, supplier terms, penalties, and any nonrefundable charges associated with my reservation.

By electronically signing below, I certify that:

I am the authorized cardholder.
I authorize the charge listed on this form.
I have reviewed and accept the applicable cancellation policy.
The information provided on this form is accurate.

Electronic Signature

Date